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Individual

DR. LOC HUU PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
533 ELMWOOD AVE, PROVIDENCE, RI 02907-1758
(401) 781-7930
Mailing address
533 ELMWOOD AVE, PROVIDENCE, RI 02907-1758
(401) 781-7930

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05006
RI

Other

Enumeration date
09/22/2011
Last updated
09/22/2011
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